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OCPM PD Abdomen 3
Questions
38
Medical
Professional
04/28/2009

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Cards

Term
Old silver striae or stretch marks
Definition
Normal
Term
Pink-purple striae
Definition
Cushing's Syndrome
Term
Dilated Veins (Caput Medusa)
Definition
Hepatic cirrhosis or IVC obstruction
Term
Localized bulges in abdominal wall
Definition
Hernia
Term
Bulging abdominal flanks
Definition
Ascites
Term
Suprapubic bulges
Definition
Distended bladder or pregnant uterus; hernias
Term
Assymetric Abdomen
Definition
Enlarged organ or mass
Term
Lower abdominal mass
Definition
Ovarian or uterine tumor
Term
Increases peristaltic waves
Definition
Intestinal obstruction
Term
Visible aortic pulsations in epigastrium
Definition
Normal
Term
Increased abdominal pulsation
Definition
Aortic aneurysm or increased pulse pressure
Term
Vasculat sounds resembling heart murmers
Definition
Bruits
Term
Present bruits
Definition
Suggest vascular occlusive disease
Term
Abdnormal bowels sounds (not 5-34/min)
Definition
"Diarrhea, intestinal ovstruction, paralytic ileus, peritonitis"
Term
Bruits in the epigastrium or upper quadrants
Definition
Suggests renal artery stenosis (If systolic and diastolic components
Term
Renal artery stenosis
Definition
Can be a cause of hypertension
Term
Bruits with systolic and diastolic components
Definition
Suggest partial arterial occlusion or arterial insufficiency
Term
Rubs over liver or spleen
Definition
"liver tumor, gonococcla infection around liver, splenic infarction"
Term
Protuberant abdomen that is tympanic throughout
Definition
Suggests intestinal obstruction
Term
Scattered areas of dullness in abdomen
Definition
"Normal, from fluid and feces"
Term
Large dull areas in abdomen
Definition
Indicated underlying mass or enlarged organ
Term
The underlying mass or enlarged organ
Definition
"Might be Pregnant uterus, ovarian tumor, distended bladder, large liver or spleen"
Term
"On protuberant abdomen, dullness on both flanks"
Definition
Assess further for ascites
Term
Dullness on left of abdomen and tympany on right
Definition
"Normal, liver on left and gastric air bubble and splenic flexure right"
Term
Dullness on right and tympany on left
Definition
"Situs inversus, rare - reversed organs"
Term
Gentle light dipping motion of light palpation for?
Definition
"Identify tenderness, muscular resistance, and superficial masses and organs"
Term
Voluntary gaurding
Definition
Patient if flexing abdomen muscles
Term
Involuntary gaurding
Definition
"Persists depsite maneuvers, indicates peritoneal inflammation"
Term
Abdominal pain with coughing or light percussion
Definition
Suggests peritoneal inflammation
Term
Rebound tenderness
Definition
Suggests peritoneal inflammation
Term
Rebound tenderness felt elsewhere
Definition
Painfull area is probably the source of the pain
Term
Regular liver span midcalvicular line
Definition
6-12 cm
Term
Regular liver span midsternal line
Definition
4-8 cm
Term
Oval mass velow the edge of the liver
Definition
Obstructed or distended gallbladder
Term
Tenderness over the liver
Definition
"Suggests inflammation (hepatitis), congestion (heart failure)"
Term
An enlarged spleen expand in what direction
Definition
Anteriorly
Term
Splenic percussion sign
Definition
From tympany to dullness on inspiration is positive
Term
Enlarged spleen
Definition
Palpable ~2cm below loft costal margin on deep inspiration
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